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Table 2 Summary of final panel judgements compared with IWGDF judgements for all IWGDF prevention recommendations

From: Australian guideline on prevention of foot ulceration: part of the 2021 Australian evidence-based guidelines for diabetes-related foot disease

No.

Problem

Desirable

effects

Undesirable

effects

Quality of evidence

Values

Balance of

effects

Acceptability

Applicability/

feasibility

Decision

Comment

1

+

Yes

+

Moderate

+

Trivial

-

Low

?

Probably no

important uncertainty

+

Favours the intervention

+

Yes

+

Yes

Adapt

Adapted QoE

2

+

Yes

+

Moderate

+

Trivial

-

Low

?

Probably no

important uncertainty

+

Favours the intervention

+

Yes

+

Yes

Adapt

Adapted QoE

3

=

=

=

=

=

=

=

=

Adopt

Adopted in ADAPTE screening

4

=

=

=

=

=

=

=

=

Adopt

Adopted in ADAPTE screening

5

=

=

=

=

=

=

=

=

Adopt

Adopted in ADAPTE screening

6

+

Yes

+

Moderate

-

Moderate

+

Moderate

+

Possibly

important uncertainty

?

Probably favours the intervention

?

Probably yes

-

No

Adapt

Adapted wording to reflect that the technology is not yet available in Australia

7

=

=

=

=

=

=

=

=

Adopt

Adopted in ADAPTE screening

8

=

=

=

=

=

=

=

=

Adopt

Adopted in ADAPTE screening

9

=

=

=

=

=

=

=

=

Adopt

Adopted in ADAPTE screening

10

=

=

=

=

=

=

=

=

Adopt

Adopted in ADAPTE screening

11

+

Yes

+

Moderate

+

Small

+

Low

+

Probably no important uncertainty

+

Probably favours the intervention

+

Varies

+

Varies

Adapt

Adapted wording to retain meaning, but improve clarity

12

+

Yes

+

Moderate

+

Moderate

+

Low

+

Probably no important uncertainty

+

Probably favours the intervention

+

Probably yes

+

Probably yes

Adapt

Adapted wording to retain meaning, but improve clarity

13

=

=

=

=

=

=

=

=

Adopt

Adopted in ADAPTE screening

14

+

Yes

-

Don’t know

+

Trivial

-

Very low

+

No important uncertainty

-

Does not favour either the intervention or comparison

+

Probably yes

+

Yes

Exclude

Excluded due to low-quality supporting evidence

15

+

Yes

+

Small

?

Small

+

Low

+

Probably no important uncertainty

?

Probably favours the intervention

+

Probably yes

+

Probably yes

Adapt

Adapted intervention

16

+

Yes

+

Large

+

Small

+

Low

+

Probably no important uncertainty

+

Probably favours the intervention

+

Yes

+

Probably yes

Adopt

Adopted in EtD assessment

  1. Note: +, panel agreed with original IWGDF judgement; -, panel disagreed with original IWGDF judgement; ?, panel unsure if agreed with original IWGDF judgement due to lack of IWGDF information on judgement; =, panel agreed with original IWGDF judgements during screening (see Table 1); QoE Quality of evidence